Do you have previous volunteer experience? If so, where did you volunteer and what did you do?

Volunteer availability

Skills and Interests

Languages (other than English)

Professional Licensing or Degrees you hold

Hobbies/ Interests/ Special skills

References

Name of Referral *

Name of Referral

First Name

Last Name

Address

Phone *

Phone

(###)

###

####

Relationship *

Name of Referral *

Name of Referral

First Name

Last Name

Address

Number

Number

(###)

###

####

Relationship *

The Volunteer Opportunity that interests me is *

How did you hear about us

CC Employee

Employer

School

CC Website

Internet

Friend

Church

Job Fair/ Community Fair

Other

Background Information

Because the nature of our services requires us to work with vulnerable population, Catholic Charities requires volunteers and staff to undergo a background investigation, as a matter of policy.

Have you ever been convicted of a felony *

yes

no

If yes, please explain

Applicant's agreement

- If I become a volunteer, I understand that my volunteering is terminable at will, either by Catholic Charities or me, regardless of the length of my volunteering.
- I understand if I am selected for a volunteer assignment, I will need to provide additional background information including a background check. fingerprinting or other program specific requirements.
- I give permission for any photograph, video or audio of myself, obtained during volunteer activities, to be used in informational material and for publicity, training and promotional purpose without compensation for Catholic Charities of Santa Clara County and/or its partners.
- I understand that any misrepresentation or omissions on this application may be considered sufficient cause for rejection of this application. By signing this form I agree that the statements and conditions above are true and correct.